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Sr Contract Specialist
HCSC - Chicago, IL
Basic Function: This position within Contract Administration's Employer Document Unit is responsible for collaborating with internal stakeholders to draft and negotiate contract documents that govern the relationship between HCSC and its customers. The Employer Document Unit supports the Group market segment which consists of organizations that offer Blue Cross Blue Shiel...
Senior Community Outreach Specialist, Medicaid
HCSC - Chicago, IL
At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" as one of our core values, we are focused on improving our success measures and delivering the best possible customer experience. Job Purp...
Member Care Coordinator - Government Programs (Marion, IL)
HCSC - Marion, IL
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating non-clinical ...
Medical Management Specialist I - Government Programs
HCSC - Downers Grove, IL
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating non-clinical ...
ENA Sr Strategic Account Executive- TRS
HCSC - Austin, TX
Job Purpose: This position is responsible for strategic oversight and retention for Enterprise National Accounts. Serves as the primary point of contact for customer and viewed as a trusted advisor. Develop understanding of client business strategy and identify innovative product solutions to balance costs with long-term health strategy. Required Job Qualifications: * Bachelor...
ENA Senior Strategic Account Manager- TRS
HCSC - Austin, TX
Job Purpose: This position is responsible for partnering with assigned Account Executive in all aspects of retaining and growing Enterprise National Accounts. As an experienced Account Manager, responsible for ongoing service strategy and ensuring client satisfaction including preparation of documents. May train/mentor Strategic Account Managers and/or lead projects or assist with projec...
Developer Specialist-Appian
HCSC - Richardson, TX
“As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power of this purpo...
Customer Advocate I
HCSC - Tulsa, OK
BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90% of the scheduled time on the phone according to business need. JOB REQUIREMEN...
Customer Advocate I
HCSC - Springfield, IL
BASIC FUNCTION: Under supervision, this position is responsible for working on the phone all day in a call center to assist members and physicians by responding to telephone and written inquiries in a prompt, accurate and objective manner. Duties include: conducting research; spends approximately 90% of the scheduled time on the phone according to business need. JOB REQUIREMENTS:...
Compliance Auditor
HCSC - Richardson, TX
JOB PURPOSE: This position is responsible for compliance support for an assigned area for internal audits, external audits, compliance training, and analysis of data and quality systems improvement and maintenance, complete state compliance reports, complete and submit accreditation/reaccreditation filings, and ensure ongoing compliance with regulations and standards through the continuo...
Admin Technical Analyst III- Richardson
HCSC - Richardson, TX
BASIC FUNCTION: Under supervision, the position is responsible for assisting in resolving PC network problems relating to printers, and hardware; assisting with budget preparation, business continuity issues, personnel issues, attendance, etc. for the division; maintaining database(s); responding to inquiries; and for performing clerical and administrative activities to support the unit. ...
Care Coordinator UM/CM I - Government Programs
HCSC - Downers Grove, IL
We are the Health Care Management division of HCSC — a team of dedicated nurses, doctors and other clinicians. Everything we do, and every decision we make, aims to help our members live their most healthy lives. We treat the whole person with integrated pharmacy, physical and mental health care benefits. We're also tackling the social determinants of health by creating non-clinical ...
Utilization Management Coordinator - Registered Nurse (RN) - Transplant Specialty
HCSC - Richardson, TX
** THIS POSITION IS IN-OFFICE AND CAN BE BASED IN CHICAGO, IL OR RICHARDSON, TX. ** BASIC FUNCTION: This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and Medical and Ne...
Utilization Management Coordinator - Registered Nurse (RN) - Preds
HCSC - Chicago, IL
** THIS POSITION IS IN-OFFICE IN CHICAGO, IL AND NEEDS TO BE BASED A COMMUTABLE DISTANCE TO IN CHICAGO, IL . ** BASIC FUNCTION: This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between...
Sr DevOps Engineer (Infrastructure)
HCSC - Richardson, TX
As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power of this purpose through t...
